An occipital plate for occipito-cervical fixation, comprising: a substantially flat plate provided with at least one fixation area connectable to the skull of a patient and at least one pair of through slots extending length-wise away from each other; and at least one pair of clamps slidably constrained each in a respective slot to move along a medial-lateral adjustment direction and provided with respective seats for receiving a support bar, wherein each receiving seat has an opening for insertion of the respective support bar accessible laterally and longitudinally along an insertion direction substantially parallel to a lying plane of the plate. Other aspects are disclosed and claimed.